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Sleepdiary PDF

The document provides a daily sleep diary for individuals to record information about their sleep over the course of a week. The diary includes spaces to record the time they went to bed and fell asleep, the number of times they woke up during the night, how long they were awake total, what time they finally woke up and got out of bed, and how long they spent in bed. It also includes a space to rate the quality of their sleep.

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129 views2 pages

Sleepdiary PDF

The document provides a daily sleep diary for individuals to record information about their sleep over the course of a week. The diary includes spaces to record the time they went to bed and fell asleep, the number of times they woke up during the night, how long they were awake total, what time they finally woke up and got out of bed, and how long they spent in bed. It also includes a space to rate the quality of their sleep.

Uploaded by

nara
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Daily Sleep Diary

Complete the diary each morning (“Day 1” will be your first


morning). Don’t worry too much about giving exact answers, an
estimate will do.
Your Name___________________________ The date of Day 1_______________

Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7

Enter the Weekday (Mon,


Tues, Wed, etc.)
At what time did you go to
1 bed last night?

After settling down, how


long did it take you to fall
2
asleep?

After falling asleep, about


how many times did you
3
wake up in the night?

After falling asleep, for how


long were you awake during
4
the night in total?

At what time did you finally


5 wake up?

At what time did you get


6 up?

How long did you spend in


bed last night (from first
7
getting in, to finally getting
up)
How would you rate the
quality of your sleep last
night?
8
1 2 3 4 5

V. Poor V. Good
10 Rules for Improved Sleep Hygiene
If you have problems sleeping, then it is important that you practise good Sleep Hygiene.
This means doing things which are known to improve sleep, and avoiding those things
which are known to disturb sleep. Here are 10 things you should know about getting better
sleep; each of these points is based on scientific research, and could help you to get the
most out of your sleep.
Remember, this advice applies only if you have a sleep problem:

Products containing caffeine (tea, coffee, cocoa, chocolate, soft drinks, etc.)
1 should be discontinued at least 4 hours before bedtime. Caffeine is a
stimulant and can keep you awake.

Avoid nicotine (including nicotine patches or chewing gum, etc) an hour


2 before bedtime and when waking at night. Nicotine is also a stimulant.

Avoid alcohol around bedtime because although it can promote sleep at


3 first, it can disrupt sleep later in the night.

Avoid eating a large meal immediately before bedtime, although a light


4 snack may be beneficial.

Try to do regular (even mild) physical exercise if you are able, but avoid doing
5 this in the 2 hours before bedtime.

Keep the bedroom calm and tidy. Select a mattress, sheets, and pillows that
6 are comfortable.

7 Avoid making your bedroom too hot or too cold.

Keep the bedroom quiet and darkened during the night, but try to spend
8 some time in daylight (or bright artificial light) during the day.

Keep your bedroom mainly for sleeping; try to avoid watching television,
9 listening to the radio, or eating in your bedroom.

10 Try to keep regular times for going to bed and getting up.

Somnia Adaptation: Kevin Morgan, Beverley David, Claire Gascoigne (2007). Clinical Sleep Research Unit Loughborough University UK

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